Do automated calls with nurse follow-up improve self-care and glycemic control among vulnerable patients with diabetes?
Open accessAbstract
Purpose We sought to evaluate the effect of automated telephone assessment and self-care education calls with nurse follow-up on the management of diabetes. Subjects and methods We enrolled 280 English- or Spanish-speaking adults with diabetes who were using hypoglycemic medications and who were treated in a county health care system. Patients were randomly assigned to usual care or to receive an intervention that consisted of usual care plus bi-weekly automated assessment and self-care education calls with telephone follow-up by a nurse educator. Outcomes measured at 12 months included survey-reported self-care, perceived glycemic control, and symptoms, as well as glycosylated hemoglobin (Hb A1c) and serum glucose levels. Results We collected follow-up data for 89% of enrollees (248 patients). Compared with usual care patients, intervention patients reported more frequent glucose monitoring, foot inspection, and weight monitoring, and fewer problems with medication adherence (all P -0.03). Follow-up Hb A,, levels were 0.3% lower in the intervention group (P = 0.1), and about twice as many intervention patients had Hb A1c levels within the normal range (P = 0.04). Serum glucose levels were 41 mg/dL lower among intervention patients than usual care patients (P = 0.002). Intervention patients also reported better glycemic control (P = 0.005) and fewer diabetic symptoms (P Conclusions Automated calls with telephone nurse follow-up may be an effective strategy for improving self-…
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Evidence indicates that asynchronous telehealth leads to a reduction in the number of in-person visits.
“Although the evidence indicates that this approach leads to a reduction in the number of in-person visits”
From Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here? (2012) · cites this paper as [59]
Evidence of impact of asynchronous telehealth on outcomes other than in-person visits is lacking.
“evidence of impact on other outcomes is lacking.”
From Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here? (2012) · cites this paper as [59]
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- Authors
- Piette, J. D., Weinberger, M., McPhee, S. J., Mah, C. A., Kraemer, F. B., & Crapo, L. M.
- Affiliations
- VA Palo Alto Health Care System (US)
- Regenstrief Institute (US)
- University of California, San Francisco (US)
- Santa Clara Valley Medical Center (US)
- Corresponding author
- Piette, John D
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2000-01
- Volume
- 108
- Issue
- 1
- Pages
- 20-27
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2139826204
- Cited by
- 293
- References
- 1
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 7 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 13 · 2015: 15 · 2014: 18 · 2013: 20 · 2012: 10
- FWCI
- 7.50
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The American Journal of Medicine (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes management, nurse follow-up, self-care education, glycemic control, HbA1c, hypoglycemic medications, medication adherence, glucose monitoring, vulnerable patients, Spanish-speaking patients, diabetic symptoms
- MeSH terms
- Adult, Aged, Blood Glucose, Diabetes Mellitus, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Nurses, Patient Education as Topic, Self Care, Telephone, Translations
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